"Cosmically, I seem to be of two minds. The power of materialist science to explain everything – from the behavior of the galaxies to that of molecules, atoms and their sub-microscopic components – seems to be inarguable and the principle glory of the modern mind. On the other hand, the reality of subjective sensations, desires, and – may we even say – illusions, composes the basic substance of our existence…" (John Updike, "Testing the Limits of what I Know and Feel", April 18, 2005)
Author John Updike, in the above quote, illustrates a sort of dialectical tension that I find in the field of clinical psychology. On one hand, there is the aspect of the field that is informed by science; the use of empirical methodology to reveal truth. This method has proven to be the bedrock of effective and ethical practice in psychology. On the other hand, there is subjectivity to life which is, at times, just as powerful in its description of truth as an empirical methodology. For a simple example, I can explain my love for my fiancée in multiple ways. In one sense, there is a complex physiological reaction involved. However, I can best explain my love to another human being in a more subjective, metaphorical way (i.e. the fact that, after 6 years, my love only seems to grow, that she has become "a part of me," etc.). Are both objective physiology and subjective metaphor valuable to the overall understanding of the human experience? I think so. However, it seems that our culture separates the two forms of knowing – the objective and subjective – instead of integrating them into a meaningful epistemology. It also seems to me that the fields of psychology and philosophy are in a unique place to understand both, as well as aid their application in theory and practice.
The point being that, within the historical development of clinical psychology, there have been a plethora of metaphysics and epistemologies that have shaped the field as we know it today. This is not written to spark argument or present a form of dogma, but merely to invite the idea that it is important to know the various metaphysics and epistemologies that influence our field in both obvious and latent ways. Further, where the philosophies came from, and how they manifest themselves in the field of clinical psychology on a broad sociocultural level as well as in the personal lives of clinicians and clients should be considered highly valuable to our overall understanding.
This is simply my reaction from the Updike quote, and I thought it would fit within this thread.